Would botox (or any other filler) help with a less droopy nose when smiling? (photos)

Hi @musiclover11. Botox can help reduce the droopy nose when injected underneath the septum of the nose. This will freeze the depressor septi nasi muscle and will allow the nose to have more of a lifted look when smiling. I hope this was helpful!

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Since this is motion-related, the use of a couple of microdroplets of Botox is a reasonable choice, and I routinely use it for this purpose. Botox is not a filler; it works by diminishing overactive muscle activity. Occasionally a small amount of filler can be added to the base of the nose, as well, to further support the nasal tip. Make sure to consult with a board certified cosmetic dermatologist. Best of luck.

HI there! Thank you for your question. While not super common, Botox can definitely be used to "lift" the nasal tip, particularly when smiling. This is done by injecting 2-3 units at the base of the nose. Again, it's not the most commonly requested procedure however, patients that do request it are pleased with the minimal but effective result. Good luck!
Ivette M. Ballara, RN, BSN

Great question. Your nose does seem to pull down a smidge when you smile. A few units of Botox in the depressor nasi septi which is a the small muscle in the midline under the nostrils which is responsible for this downward trajectory, would be expected to help modify this. A small volume of dermal filler in the same area would also help provide support from underneath. These are advanced injections - see a board certified dermatologist for your care.

Hi there, and thanks for your question. Botox can reduce the "droopy nose" look when injected underneath the septum of the nose. This will freeze the depressor septi nasi muscle and give the nose a more lifted look when smiling. If you are not satisfied with the outcome from botox alone, there is always the option to go forward with a more invasive procedure called rhinoplasty, in which surgery of the nose is involved. Good luck to you, and please consult with a board-certified plastic surgeon!

James Fernau, MD, FACS
Aesthetic Surgery
CERTIFIED: American Board of Plastic Surgery
CERTIFIED: American Board of Otolaryngology/Head & Neck Surgery
Member: American Society of Plastic Surgery (ASPS)
American Society of Aesthetic Plastic Surgery (ASAPS)
International Society of Aesthetic Plastic Surgery (ISAPS)
American Academy of Facial Plastic Reconstructive Surgery (AAFPRS)
American Academy of Otolaryngology/Head & Neck Surgery (AAOHNS)
American Society for Laser Medicine and Surgery (ASLMS)
The Rhinoplasty Society

This is caused by a muscle just under the nose. Treatment with Botox bu a plastic surgeon who understands the anatomy should correct it. Resection of the muscle can also be effective.